Christopher Paul Viesselman, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

00289 Issued in IA

Practice address

1200 Grandview Ave
Des Moines, IA 50316-1529

Phone

(515) 263-2871

Fax

(515) 263-2871

NPI assigned

Feb 20, 2007

Last updated

May 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1700920865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GRANDVIEW AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503161529",
            "telephone_number": "515-263-2871",
            "fax_number": "515-263-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GRANDVIEW AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503161529",
            "telephone_number": "515-263-2871",
            "fax_number": "515-263-2871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 University Ave",
            "address_2": "Central College, Box 6600",
            "address_purpose": "LOCATION",
            "city": "Pella",
            "state": "IA",
            "postal_code": "502191902",
            "country_code": "US",
            "telephone_number": "641-628-5166",
            "fax_number": "641-628-5356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIESSELMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "00289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.